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目的探讨老年患者合并低钠血症的临床特点。方法对12例老年低钠血症患者的临床资料进行回顾性分析。结果 12例老年低钠血症患者中,轻型(血钠105～130mmol/L)10例,口服含钠溶液或静脉补充0.9%氯化钠溶液,急重症型(血钠85～105mmol/L)2例,经微量泵持续缓慢静滴高渗盐水,临床治疗效果明显。结论老年患者常常因各种慢性疾病的影响易出现水钠代谢异常。由于老年低钠血症无明显临床表现,难以发现,诊断及治疗常需考虑多方面因素,在内科综合治疗的基础上采取不同的补钠治疗方法,能有效改善老年患者的预后。
Objective To investigate the clinical features of senile patients with hyponatremia. Methods The clinical data of 12 elderly patients with hyponatremia were retrospectively analyzed. Results In 12 elderly patients with hyponatremia, 10 patients with mild (serum sodium 105 ~ 130mmol / L) oral sodium or intravenous 0.9% sodium chloride solution, severe type (serum sodium 85 ~ 105mmol / L) 2 cases, sustained and slow intravenous infusion of hypertonic saline by micro-pump, the clinical treatment effect is obvious. Conclusions Elderly patients often have abnormal water and sodium metabolism due to various chronic diseases. As senile hyponatremia no obvious clinical manifestations, difficult to find, diagnosis and treatment often need to consider many factors, based on comprehensive medical treatment to take different sodium supplementation, can effectively improve the prognosis of elderly patients.